“…Multiple algorithms have been developed to measure disease complexity and comorbidity for practice and research (Guralnik, 1996), but most focus on hospitalized cases to evaluate mortality (Charlson, Pompei, Ales, & MacKenzie, 1987;Grendar et al, 2012;Naessens, Leibson, Krishan, & Ballard, 1992) and hospital length of stay (Young, Kohler, & Kowalski, 1994;Zhong, Chow, & He, 2012), rather than incorporate diagnoses from community care settings to represent the population at large. Multiple algorithms have been developed to measure disease complexity and comorbidity for practice and research (Guralnik, 1996), but most focus on hospitalized cases to evaluate mortality (Charlson, Pompei, Ales, & MacKenzie, 1987;Grendar et al, 2012;Naessens, Leibson, Krishan, & Ballard, 1992) and hospital length of stay (Young, Kohler, & Kowalski, 1994;Zhong, Chow, & He, 2012), rather than incorporate diagnoses from community care settings to represent the population at large.…”